DIFFERENT MHP PC NPI 1629850615

NPI Information

  • NPI: 1629850615
  • Provider Name: DIFFERENT MHP, PC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 5960 FAIRVIEW RD STE 400
    CHARLOTTE, NC
    ZIP 28210
  • Phone: (704) 538-4800

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NPI Details

DIFFERENT MHP, PC is a psychiatric/mental health nurse practitioner in Charlotte, NC. DIFFERENT MHP, PC NPI is 1629850615. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5960 FAIRVIEW RD STE 400
CHARLOTTE, NC
ZIP 28210-119
Phone: (704) 538-4800

The provider's authorized official is Desiree Matthews .
The authorized official title is Founder, Lead Clinician and has the following contact phone number (844) 325-4647.

The enumeration date for this NPI number is 10/16/2023 and was last updated on 5/16/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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